HomeMy WebLinkAbout032-2167-40-000 (2) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
vittce with Comm 85,Wis. Adm. Code 7
County J
Attach complete site p less than 8 1/2 x 11 inches in size.Plan must
include,but not limited.,:vertical and horizontal reference point(BM),direction and Parcel I.D.
percent slope,scale or dimensions,north arrow,and location and distance to nearest road.
Please print all information. Rev' wed by
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). OZ
Property Owner Property Location
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S Govt.Lot 1/4 1/4 S T N R (or)&7
Property Owner's Mailing Address r, 7, Lot Block# Subd.Name or CSM#
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City State Zip Code Phone Number ❑City ❑Village Town Nearest Road
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New Construction Use. Residential/Number of bedrooms Code derived design flow rate li�� GPD
❑Replacement ❑ Public or commercial-Describe:
Parent material od Plain elevation if applicable ft.
General comments
and recommendations:
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FTI Boring#
F1 Boring - -,
Pit Ground surface elev. Depth to limiting factor -YL 9e in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. / *Eff#1 *Eff#2
f4l Id
t 5 _
Boring# ❑ Boring
21 Pit Ground surface elev.�/75 ft. Depth to limiting factor :L in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
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3.,Jed
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*Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 m L *Effluent#2=BOD,<30 mg/L and TSS<30 mg/L
CST Na a ease P int) _ a re CST Number
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Address Date Evaluation Conducted Telephone Number
SBD-8330(R07/00)
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Property Owner0�c's-/� Parcel ID# Page of
Boring#
❑ Boring Job le
51 P1 Pit Ground surface elev. ft. Depth to limiting factor 1 1 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
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F-1 Boring#
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
❑ Boring# ❑ Boring
Pit Ground surface elev. ft. Depth to limiting factor in.
El
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2
*Effluent#1 =BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L
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need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330(R.07/00)
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